History of Frenotomy for Ankyloglossia

Frenotomy is known to have been performed as far back as the early 20th century. The procedures often had complications such as bleeding and infection. As a result the procedure fell out of popularity for some time.

  • Popularity of casual frenotomy in the early 20th century
  • Procedure fraught with complications: bleeding, infection, scarring, "regenerating"
  • Fell into disrepute in the mid 20th century
  • Concurrent popularity of formula feeding
  • Older and recent text books claimed frenotomy unnecessary
  • Current resurgence of breastfeeding demands revisit of topic
  • Video Chapter 2: Performing Frenuloplasty

    Video Chapter 2: Performing Frenuloplasty

    Frenotomy Procedure

    Frenotomy is a procedure that requires sterile instruments and should be performed in a doctor's office or neonatal clinic.

  • A surgical procedure involving clipping of the lingual frenulum parallel to the tongue
  • Must be familiar with oral anatomy
  • Requires aseptic technique and sterile instruments
  • Neonatal, outpatient or office procedure
  • No anesthesia if performed under 3-4 months
  • Minimal blood loss
  • Infant may breastfeed immediately after procedure
  • Frenotomy Procedure